Impact of liberal immigration policies begins to show – hospital bed crunch

hospital poor planning commentsFirst the MRT packed then frequent breakdown, then property prices escalating, COE prices shot through the roof, then the China workers’ strike followed by Indian workers’ riots, the latest symtops to show up is the poor planning management of the healthcare system, not only the beds are not enough to cater for the explosion of population, the queues at the various hospitals and specialist clinics are see record number of patients, the Government  also “suddenly realise” that we need to another 20000 healthcare workers. Talk about poor planning and foresight, this is one lesson that any developing or developed countries should not learn from Singapore!

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Not just shortage of hospital beds, but doctors too

From  Georgia Tong Jee Cheng

Source: Todayonline, 21 January 14

The recent hospital bed crunch could be the tip of the iceberg. (“Temporary measures to reduce load in public hospitals”; Jan 13)

I am a glaucoma patient and have noticed that my check-up intervals at the Singapore National Eye Centre (SNEC) have been getting longer, from three to four months to six months. It will soon be more than a year, because my doctor is on leave.

Yearly check-ups should be for those without eye disease, whereas patients with chronic eye disease should be monitored more closely for deterioration of vision. How acceptable is an interval of more than 12 months between appointments for SNEC patients?

Is there such a shortage of doctors that the existing ones cannot cover for colleagues who are on leave?

This also implies that a doctor on leave will need to clear a backlog of patients. It is worrying if manpower problems were to affect healthcare quality.

Even the waiting time at a clinic or hospital for one’s appointment with a specialist can be around two to three hours.

We have a healthcare crunch at many levels. Besides the heavy patient load on our hospital infrastructure, there seems to be a shortage of healthcare professionals

Hospitals facing severe bed crunch take unusual steps

Patients being housed in tent and corridors, or sent to other hospitals
 Source: Straits Times, 8 Jan 2014
By Salma Khalik, Senior Health Correspondent

A severe bed crunch at Singapore’s public hospitals has forced several of them into taking some extraordinary measures.

Changi General Hospital (CGH), which has 800 beds, started housing patients waiting for beds in a large air-conditioned tent this week.

The 1,200-bed Tan Tock Seng Hospital (TTSH), meanwhile, has been forced to set up 49 beds along the corridors of its wards to cope with the demand.

Together with Khoo Teck Puat Hospital (KTPH), they have also resorted to sending patients to Alexandra Hospital, one of the few public hospitals here with spare beds.

Having taken in more than 900 patients from other hospitals between last September and December, it continues to admit around 11 such patients each day.

Dr Lee Chien Earn, CGH’s chief executive officer, told The Straits Times: “Our bed occupancy rate has crossed 100 per cent for certain periods over the past month and some patients have waited more than 24 hours for an inpatient bed.”

This is despite CGH already renting a ward from Parkway East Hospital and the next-door St Andrew’s Community Hospital.

Mr Liak Teng Lit, head of Alexandra Health which runs KTPH, said: “Every day, we have to make decisions regarding our 500 patients. Those who are not so sick are discharged to make way for the 50 to 60 patients waiting for a bed.”

He described the current bed crunch as “abnormal”, since public hospitals usually experience a dip in patients during this period. But numbers went up instead.

Dr Chia Shi-Lu, a member of the Government Parliamentary Committee for Health, suggested that the crunch might be due to the holiday season rather than a spike in illnesses.

Mr Liak said this was possible. He explained how 20 KTPH patients at any one time refuse to be discharged. Some say their families are on holiday, and there is no one at home to take care of them.

Health Minister Gan Kim Yong said last night that he was aware of the problem – hence, the push to add 1,900 more acute hospital beds and 2,600 community hospital beds by 2020.

He added: “The hospitals have also implemented various measures to alleviate the bed crunch.

“CGH has set up a nine-bed Short Stay Unit and expanded its observation ward from 12 to 20 beds at the Emergency Department and also set up an Admission Transit Area for patients who are waiting for a bed in the ward.”

Madam Fatimah Beevi, 60, has experienced the crunch at both KTPH and CGH over the past fortnight.

She spent Christmas night on a trolley bed in the packed KTPH’s emergency department, where she said the beds were so close she could touch the next patient by stretching out her arm. She was discharged after a day.

When her problems persisted, she went to CGH on Sunday. She was placed in the Admission Transit Area for 48 hours while waiting for a B2 bed.

“There was no shower room and I couldn’t bathe for two days,” said Madam Fatimah, who was discharged yesterday evening after her condition stabilised.